Chapter 26: You Go On
Li Yanling didn't look at him, holding her notebook and began to say slowly: "Before entering the fever clinic, you must wear personal protective equipment, hats, masks, and gloves. All patients presenting should be considered a potential source of infection and standard precautions should be taken. Medical personnel measure body temperature every day, and report immediately if the body temperature is abnormal or symptoms such as fever and cough appear, and intervene and deal with it according to regulations. Hand hygiene should be strictly enforced. When a patient is suspected to be in the fever emergency department, it is necessary to receive only one patient at a time and check the patient's temperature. Every time a patient with a fever or cough is suspected to be treated, he must change his mask and gloves......"
Wu Hao immediately interrupted her: "This is unrealistic! We don't have so many masks and gloves to change. ”
"I haven't finished yet, can you hear me finish first?" Li Yanling looked down at her notebook, and didn't even look up at Wu Hao.
Wu Hao shrugged his shoulders: "Okay, you go on." ”
Li Yanling paused before continuing: "The rubber gloves must be replaced, and if the materials are in short supply, the replaced masks should be dried and reused." Rubber gloves should be sterilized and reused. ”
Wu Hao had a gloomy face, and he didn't object this time.
Li Yanling glanced at Wu Hao triumphantly, and then continued: "In addition, only the patients themselves are allowed to enter the waiting area, and family members are not allowed to enter, so as to reduce the gathering of people." The medical guide desk should first measure the patient's body temperature and fill in the measurement results on the registration form. Fever emergency should try to use disposable diagnostic and treatment instruments, appliances and articles. Reusable diagnostic and treatment instruments, appliances and articles should be cleaned, disinfected or sterilized in strict accordance with the regulations, and the air in the diagnosis and treatment environment, the surface of objects, and the ground should be disinfected. That's all for now, let's think about it again. ”
Everyone thinks that there should be no problem with these points.
Wu Hao said: "Director Li's idea is very good, but there are several problems, the most important is that it is not realistic, such as extensive disinfection, which inevitably requires a large amount of disinfectant solution, where do these things come from?" Director Li's standard is estimated to be based on the standard of the infectious disease department, and if our emergency center is disinfected on a large scale, additional expenses will be required, and the hospital may not agree. ”
Li Yanling said: "This is just a requirement, first raise the requirements, in order to work hard to achieve, you can't lower the requirements at the beginning, that will be risky." We will first formulate it in this way, and the standards will be established and then we will try to achieve them. ”
Everyone thought this was the case, so they agreed.
Wu Hao stretched his waist and said: "The system proposed by Director Li is not very mature, so let's send it to everyone first, everyone will spend time pondering it and then discuss, the effect is better, I will not discuss it in detail today, the study is over, everyone is busy." ”
With that, he took the lead and walked out of the conference room.
Everyone stood up and left, Yu Shasha glanced at Wu Hao's back, and whispered to Li Yanling: "Director Li, Director Wu is too much!" ”
Li Yanling snorted casually.
As soon as Wu Hao announced the dismissal of the meeting, Wang Bingbing rushed out. And Zhao Guang also went to the outpatient clinic to register for a doctor.
Not long after Dai Yunyang and the others returned to the consultation room, Wang Bingbing ran back with three medical records and proudly handed them to Wu Hao: "Oh, take it back." ”
Wu Hao didn't answer, and glanced at Dai Yunyang: "Show it to Dr. Dai." ”
Wang Bingbing sighed, turned around, and handed it to Dai Yunyang.
Dai Yunyang exclaimed: "You are really amazing, you got it so quickly." It's not so easy to borrow medical records across departments. ”
Dai Yunyang said while looking through the medical records, he quickly found the CT image, because since Ma Laohan and his two sons both had cough and fever symptoms, maybe the department did a CT image for them, and the judgment was correct, sure enough, there were CT images.
Dai Yunyang picked it up and looked at it, and couldn't help but feel half cold in his heart. Because the chest CT scans of the three of them all showed his ground-glass opacity similar to that of Cai Liya, a reported case of unknown pneumonia.
At this moment, Zhao Guang came back with a chest X-ray report.
Dai Yunyang took the chest X-ray CT from Zhao Guang's hand and inserted it on the display screen, and everyone gathered around to take a look. He has grid-like shadows in his lungs.
The imaging of unidentified pneumonia is not specific, so it is impossible to confirm whether it is an unknown pneumonia required by the National Health Commission from this point alone.
Dai Yunyang said to Zhao Guang: "You have inflammation in your lungs, you should treat it well, don't come to work until you get well, and recuperate with peace of mind." ”
Zhao Guang was a little frustrated, nodded and agreed, and couldn't help coughing again.
Zhao Guang went to the outpatient clinic to prescribe medicine and infusion treatment.
Late at night, Dai Yunyang got off work and drove his second-hand Santana home.
Ai Fenfei lived in the dormitory of the hospital, and he always felt unaccustomed to his wife at home, so he went to bed early and had a nightmare all night.
………………
The next day, Dai Yunyang came to the hospital.
The emergency hall was full of people, it was really crowded, and it was even more lively than the Spring Festival temple fair. It's just that everyone in the temple fair is full of happiness, but now in the emergency hall, all they see is anxiety and even fear.
Dai Yunyang squeezed through the patients and came to the nurse guidance table. Wang Bingbing was sweating profusely there, and many patients surrounded her asking this and that.
He gestured to his face, gestured to put on a mask, and then held out his hand. Wang Bingbing immediately understood, immediately opened the drawer and took out a medical mask and handed it to him, he immediately took it out, quickly tore open the seal and took it out, buckled the mask on his mouth and nose, pinched the wings of his nose and tidied it up, and then exhaled.
He said to Wang Bingbing: "Why are there so many people? ”
Wang Bingbing said: "I don't know what's going on, there are many more people than yesterday, I told them that the fever clinic is now accepting patients 24 hours a day, and asked patients to go there for medical treatment, but they just won't listen." But it's no wonder that I heard that the fever clinic is also crowded. By the way, Director Wu said that there are only a few doctors on duty, and it is not good to let so many patients wait, and it is estimated that there will be an order soon to come down and all staff will be on duty, if my guess is right. ”
Dai Yunyang nodded, and was about to speak, when he suddenly heard someone calling him, turned his head to look, and saw the director Wu Hao standing at the door of the office, waving to him.
Dai Yunyang hurriedly walked through the flow of people and came to him, and said, "Director, there are so many patients!" ”
Wu Hao said: "Yes, I just received a call from Dean Liu Ming, asking us to allocate manpower to enrich the outpatient and emergency front-line to digest patients as soon as possible." There are too many people here, let's stop taking a break for the time being, I have already told Li Yanling and Ma Feng that they all came to work today, how did you do it? So many people came at once, and many of them had coughs and fevers. You should hurry up and receive the patient, and digest it as soon as possible. With so many patients, looking anxious. ”
Dai Yunyang agreed, came to the fever emergency and began to treat patients.